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General NPI Number Information
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NPI Number | 1831745405
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Entity Type | Individual
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Provider Name | JUDERIUS HENDERSON LCAS, LCSW-A
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Gender | Male
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 305 DOGTROT CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-8932
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Country | US
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Telephone | 910-987-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 S MIAMI BLVD APT 205
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City | DURHAM
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State | NC
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Zip | 27703-8288
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Country | US
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Telephone | 910-987-0292
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-25696
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P013818
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License Number State | NC
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